MEDICARE: DR. LAWRENCE WILLIAM WESTBURY D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0300X	Periodontics	21529	CA

General Provider Information

NPI Number	:	1265433627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE WILLIAM WESTBURY D.D.S.

Provider Business Mailing Address
First Line	:	515 E MICHELTORENA ST
Second Line	:	SUITE E
City	:	SANTA BARBARA
State	:	CA
Zip	:	93103-2257
Country	:	US
Telephone Number	:	805-963-3822
Fax Number	:	805-963-6813

Provider Business Practice Location Address
First Line	:	515 E MICHELTORENA ST
Second Line	:	SUITE E
City	:	SANTA BARBARA
State	:	CA
Zip	:	93103-2257
Country	:	US
Telephone Number	:	805-963-3822
Fax Number	:	805-963-6813

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	11/29/2010

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